OrganizationActive
Alan D Schupack DDS LLC
NPI 1356492185 · General Practice Dentistry · Wallingford, CT
Provider details
- NPI number
- 1356492185
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Alan Schupack, Manager(203) 294-4444
- License
- 6675 (CT)
Specialties & taxonomies
Dental Providers
Practice location
850 No Main Street Extension
Suite 2b
Wallingford, CT 06492
Phone: (203) 269-4249
Fax: (203) 294-4444
Approximate (ZIP-level) locationGet directions
Mailing address
850 No Main Street Extension
Wallingford, CT 06492
Other names (DBA / former)
- Former legal business name
- Alan D Schupack DDS
Registry dates
- Enumerated
- 2007-01-16
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.